Nowa Medycyna最新文献

Treatment of anal fissure – combining different therapeutic approaches 肛裂的治疗-不同治疗方法的结合

Nowa Medycyna Pub Date : 2021-12-01 DOI: 10.25121/nm.2021.28.4.125

P. Ciesielski, M. Kołodziejczak

引用次数: 0

A patient with Crohn’s disease – from diagnosis to therapy onset. Therapeutic standards vs. reality – a case report 克罗恩病患者-从诊断到治疗开始。治疗标准与现实——一份病例报告

Nowa Medycyna Pub Date : 2021-12-01 DOI: 10.25121/nm.2021.28.4.136

S. Glinkowski, D. Marcinkowska

{"title":"A patient with Crohn’s disease – from diagnosis to therapy onset. Therapeutic standards vs. reality – a case report","authors":"S. Glinkowski, D. Marcinkowska","doi":"10.25121/nm.2021.28.4.136","DOIUrl":"https://doi.org/10.25121/nm.2021.28.4.136","url":null,"abstract":"Crohn’s disease is a nonspecific inflammatory bowel disease. The first symptoms tend to be non-specific, which can cause diagnostic difficulties. Full-thickness inflammation of the bowel wall, which may involve any part of the gastrointestinal tract, is a landmark of this disorder. Terminal ileum is the most commonly affected area, as also described in the presented case. Surgical treatment should be as least invasive as possible due to the high probability of another surgical intervention. We present a case of a patient previously repeatedly treated for anal abscess in an outpatient setting in the USA. The patient was admitted to the surgical ward due to perineal phlegmon in the course of recurrent anal abscess. He was qualified for abscess incision. During hospital stay, the patient developed symptoms of gastrointestinal bleeding. Diagnostic endoscopy of the large bowel revealed macroscopic lesions typical of Crohn’s disease. Repeated attempts to transfer the patient to a unit specialised in the treatment of inflammatory bowel diseases (IBDs) have been unsuccessful. Due to the deteriorating general condition and progressive anaemisation, the patient was qualified for surgery. The end section of the ileum was resected and an end ileostomy was created. After stabilisation of the general condition, the patient was discharged home having been recommended to continue treatment in a gastroenterology clinic, in a centre specialised in the treatment of inflammatory bowel diseases.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124815433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kto pierwszy wyłonił kolostomię?

Nowa Medycyna Pub Date : 2021-12-01 DOI: 10.25121/nm.2021.28.4.145

M. Ciesielska

引用次数: 0

Hanley procedure and TROPIS method – modern therapeutic approaches in complicated anal fistulae 汉利手术与TROPIS法——复杂肛瘘的现代治疗方法

Nowa Medycyna Pub Date : 2021-12-01 DOI: 10.25121/nm.2021.28.4.131

M. Kołodziejczak, P. Ciesielski

{"title":"Hanley procedure and TROPIS method – modern therapeutic approaches in complicated anal fistulae","authors":"M. Kołodziejczak, P. Ciesielski","doi":"10.25121/nm.2021.28.4.131","DOIUrl":"https://doi.org/10.25121/nm.2021.28.4.131","url":null,"abstract":"High recurrence rates after surgical management of complicated anal fistulae and concerns over postoperative incontinence encourage surgeons to look for new surgical solutions. Fistulas with high purulent reservoirs in diagnostic imaging are particularly challenging. Surgical opening of high branches and purulent reservoirs is a key therapeutic element in the management of complex fistulas. Access to these reservoirs should be established via the simplest route, hence for example, the deep postanal space should be reached from the outside by separating the external sphincter fibers, while the shortest access to high intersphincteric reservoirs is through the anal canal. The paper discusses two surgical approaches: a historical method proposed many years ago by Hanley and involving a wide opening of the deep postanal space, and TROPIS, which is a new, recently published method for accessing high intersphincteric fistulas. We describe the techniques, indications and contraindications for these two approaches. We concluded that proper patient qualification for the above therapeutic approaches is crucial. Pre-operative MRI or transrectal ultrasound imaging of the fistulous tract and determining the shortest drainage route are important.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114908322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post appendectomy fistula of the cecum – case report 阑尾切除术后盲肠瘘1例报告

Nowa Medycyna Pub Date : 2021-09-01 DOI: 10.25121/nm.2021.28.3.102

Alesia Venhura, S. Głowacki, Tomasz Pokładowski, K. Krasińska, Łukasz Sołtysiak

引用次数: 0

Appendectomy and mesh inguinal hernia repair in the treatment of Amyand’s hernia with appendicitis – a case report 阑尾切除加补片腹股沟疝修补术治疗Amyand疝合并阑尾炎1例

Nowa Medycyna Pub Date : 2021-09-01 DOI: 10.25121/nm.2021.28.3.106

Szymon Głowacki, Tomasz Pokładowski, K. Krasińska, Łukasz Sołtysiak, Alesia Venhura, Maciej Papierski

{"title":"Appendectomy and mesh inguinal hernia repair in the treatment of Amyand’s hernia with appendicitis – a case report","authors":"Szymon Głowacki, Tomasz Pokładowski, K. Krasińska, Łukasz Sołtysiak, Alesia Venhura, Maciej Papierski","doi":"10.25121/nm.2021.28.3.106","DOIUrl":"https://doi.org/10.25121/nm.2021.28.3.106","url":null,"abstract":"Amyand’s hernia is a rare condition of the peritoneal cavity. It is reported in approximately 1% of inguinal hernias. In this hernia, the vermiform appendix is located within the hernial sac. The authors present a case of a 43-year-old man who reported to hospital due to incarcerated right inguinal hernia. The hernia was returned to the peritoneal cavity and subsequently repaired in a laparoscopic procedure. The inflamed vermiform appendix was found trapped in the hernial sac intraoperatively. The clinical state was assessed as type 2 based on the Losanoff and Basson classification. The inguinal hernia was repaired using the TAPP approach. Subsequently, laparoscopic appendectomy was performed. There were no complications in the postoperative period. Diet was introduced on day 1 after surgery. The patient was discharged from the surgical department on day 4 after surgery. The follow-up at 5 months showed no recurrent hernia. The authors emphasize the role of laparoscopic techniques as an alternative to classical surgery also for emergency conditions. Simple appendicitis does not have to be a contraindication to simultaneous laparoscopic hernia repair using synthetic materials.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116219466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kim był Eduard Pernkopf i jaka jest prawda o jego atlasie anatomicznym?

Nowa Medycyna Pub Date : 2021-09-01 DOI: 10.25121/nm.2021.28.3.110

M. Ciesielska

{"title":"Kim był Eduard Pernkopf i jaka jest prawda o jego atlasie anatomicznym?","authors":"M. Ciesielska","doi":"10.25121/nm.2021.28.3.110","DOIUrl":"https://doi.org/10.25121/nm.2021.28.3.110","url":null,"abstract":"Eduard Pernkopf (1888-1955) was an Austrian professor of anatomy who later served as a dean of the medical school and rector of the University of Vienna. Pernkopf himself joined the Nazi Party’s foreign organization in 1933. He is best known for his seven-volume anatomical atlas Topographical Anatomy of Man (“Topographische Anatomie des Menschen, Lehrbuch und Atlas der regionar-stratigraphischen Praparation”) often colloquially known as the Pernkopf atlas or just “Pernkopf”. It is considered a scientific and artistic masterpiece. It has been in recent years found that Pernkopf and the artists working for him: Erich Lepier, Ludwig Schrott, Karl Endtresser and Franz Batke used executed political prisoners as their subjects. Using a special treatment of the paper used for watercolor they created the images that look like living tissue in print. But they also used the Nazi symbols in their work for the atlas. In 1995 Pernkopf and his atlas came into the focus of a controversy in scientific ethics following the publication of a paper by Professor Edzard Ernst revealed that the subject bodies may have in some cases been those of executed prisoners and children killed in a Viennese hospital. A year later Dr. Howard Israel discovered many of the Nazi symbols in the artists’ signatures. Since then physicians have discussed whether it is ethical to use the atlas. This resulted in the establishment of the Senatorial Project of the University of Vienna in 1997. As a result, the atlas’ publisher directed that an insert noting this possibility be mailed to all libraries holding the atlas, and stopped printing new copies.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"10 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132610930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perianal fistula in perineal phlegmon as a complication of spontaneous rectus sheath hematoma. A case report 自发性直肌鞘血肿并发会阴痰肛周瘘。病例报告

Nowa Medycyna Pub Date : 2021-09-01 DOI: 10.25121/nm.2021.28.3.97

Maciej Marcinkowski, Przemysław Przemysław

引用次数: 0

Diagnosis and treatment of faecal incontinence – the current state of knowledge, literature review 大便失禁的诊断与治疗——知识现状，文献综述

Nowa Medycyna Pub Date : 2021-06-01 DOI: 10.25121/nm.2021.28.2.41

R. Cylke, M. Kwapisz, A. Ostaszewska, M. Kołodziejczak

{"title":"Diagnosis and treatment of faecal incontinence – the current state of knowledge, literature review","authors":"R. Cylke, M. Kwapisz, A. Ostaszewska, M. Kołodziejczak","doi":"10.25121/nm.2021.28.2.41","DOIUrl":"https://doi.org/10.25121/nm.2021.28.2.41","url":null,"abstract":"Incontinence significantly affects the daily functioning of patients and can severely deteriorate their quality of life, leading to social disability. The most common causes of gas and faecal incontinence include obstetric injuries (mechanical trauma to the sphincter muscles or stretching of the pudendal nerve during vaginal delivery) and complications after anorectal procedures. The incidence of faecal incontinence is estimated by various authors between 2.2 and 25%. The problem affects all age groups, but mainly the elderly, with higher rates among women than men. The paper presents a review of diagnostic and therapeutic methods for incontinence based on the latest reports. Most researchers agree that, except for extensive sphincter injuries, conservative methods are the mainstay treatment for faecal incontinence, while instrumental or surgical procedures are used in the event of their failure. Despite the multitude of therapeutic methods for this difficult disease, there is no ideal procedure as the aetiology of incontinence is usually multifactorial, hence the therapeutic management should be incorporated on several levels. Treatment should be performed in a centre dedicated to proctological patients, equipped with appropriate diagnostic tools and specialist personnel.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125027337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapeutic standards for haemorrhoidal disease in Europe and the United States 欧美痔疮病的治疗标准

Nowa Medycyna Pub Date : 2021-06-01 DOI: 10.25121/nm.2021.28.2.67

P. Ciesielski, M. Kołodziejczak, A. Kucharczyk, Piotr Diuwe

{"title":"Therapeutic standards for haemorrhoidal disease in Europe and the United States","authors":"P. Ciesielski, M. Kołodziejczak, A. Kucharczyk, Piotr Diuwe","doi":"10.25121/nm.2021.28.2.67","DOIUrl":"https://doi.org/10.25121/nm.2021.28.2.67","url":null,"abstract":"Haemorrhoidal disease is the most common anorectal reason for medical appointments. The grade of the disease is an important aspect in qualification for treatment. Banov grading system, which distinguishes 4 grades of disease based on the degree of haemorrhoid prolapse, is the most commonly used classification system. While the majority of researchers are in agreement as to the use of conservative treatment in the initial stage of the disease, the treatment of grade II and III patients raises much controversy, and the developed therapeutic standards differ from country to country. We present the therapeutic standards applied in the United States, some European countries and in Japan. The initial conservative treatment of the disease is common for the presented algorithms of therapeutic management. Interestingly, infrared photocoagulation, which is very rarely performed in Poland, has its permanent place in the treatment of moderately advanced hemorrhoidal disease in most European algorithms. Some of expert opinions seem extreme, e.g. adding sphincterotomy to haemorrhoidectomy to reduce postoperative pain. We also propose our own therapeutic algorithm, which considers Polish realities.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121818522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0